Menu
60 M RA on infliximab presents w/ progressive fatigue, confusion, cough, dyspnea x3 wks. Calcium⬆️14, PTH4⬇️ CT mediastinal lymphadenopathy. Diagnosis? What is the most likely organism? (Go to next page
50 M with short gut syndrome, chest port presents w/ fever, chills, confusion, murmur +BC. Diagnosis? Gpc ovoid diplococci in short chains What is the most likely organism? Go to
60 M from California presents w/ fever, cough, malaise, pneumonia x4 mo, centrilobar opacities, mediastinal/hilar lymphadenopathy no improvement w/ abx including doxy & amp/sulb, now admitted w/resp fail. BAL done.
30 M had diarrhea, fever, headache 1d after eating at restaurant which resolved after 5d but daily fever >101F continued along w/ drenching sweats x8 wks, +10lb wt loss. s/p
70 M OA, 25 lb wt loss/1 mo, L wrist electric shock pain, swelling/weak grip, osteonecrosis of scaphoid, passed out when getting out of bed, anemia, 3 cm colon mass.
65 M DM neuropathy, non tender rash x 2yrs progressive now covers whole body except head/neck. Diffuse palpable, used to hunt, no other animal exposure, retired railroad worker. Biopsy+granulomatous dermatitis
60 M carpenter w/ non-healing painless leg ulcers x1mo Recently traveled to Belize Completed course of doxycycline with no improvement. Biopsy geimsa stain shown. Diagnosis? Go to page 2 for
55F from the midwest presents with fatigue, fever, and myalgias. Pt recently took tmp/smx for a UTI. She is a cafeteria worker, sees her grandkids regularly, and has a kitten.
Lets turn up the heat: 45 YO HIV lost to f/u 5 year ago, with diarrhea and confusion. He is thin, slightly hypotensive and febrile to 103. Labs: pancytopenia, crypto
#idboardreview 50 M hx of renal transplant, lives on 🐎 farm presents with fever, cough, fatigue & wt loss. Diagnosis? #medEd #idmedEd #Rhodococcus equi (formerly Corynebacterium equi) is a gram+
